Doctor profile · Federal record

Dr. Kimberly Dominique, FNP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Pascagoula, MS

  • NPI 1902496524
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4310 Chicot St
Pascagoula, MS 395814700
(228) 205-4737
fax (228) 205-4964
Mailing address
3709 Oak Ave
Gulfport, MS 395073108

Credentials & registration

NPPES · NUCC
NPI registered
January 2021 — 5 yrs on file
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Mississippi #904287

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1902496524. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
628
Distinct HCPCS
7
Medicare allowed
$37,817
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 217 173 $63
99213 Established patient office or other outpatient visit, 20-29 minutes 146 72 $52
99214 Established patient office or other outpatient visit, 30-39 minutes 143 92 $77
11042 Removal of skin and tissue, 20.0 sq cm or less 48 35 $45
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 31 14 $65
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 22 20 $39
99212 Established patient office or other outpatient visit, 10-19 minutes 21 18 $28

In context: peer comparison

Among 5 peers in Pascagoula Family Nurse Practitioner, average services per provider: 109. This provider delivers 5.8× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$21
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
ConvaTec INC. 1 $21.43

By nature of payment

Food and Beverage
$21

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
11
Patients
11
Total drug cost
$90
Drug Type Claims Patients Total cost
Doxycycline Hyclate Generic 11 11 $90

Frequently asked questions

Auto-generated from federal data
What is Dr. Kimberly Dominique's medical specialty?
Dr. Kimberly Dominique practices Family Nurse Practitioner in Pascagoula, MS.
Where does Dr. Kimberly Dominique practice?
Dr. Kimberly Dominique practices at 4310 Chicot St, Pascagoula, MS 395814700. Office phone: 2282054737.
What is Dr. Kimberly Dominique's NPI?
Dr. Kimberly Dominique's National Provider Identifier (NPI) is 1902496524, issued by NPPES.
Does Dr. Kimberly Dominique accept Medicare assignment?
Yes. Dr. Kimberly Dominique accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kimberly Dominique commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.